Fitchburg Dental Clinic, S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001328-015 Issued in WI

Legal business name

FITCHBURG DENTAL CLINIC, S.C.

Practice address

3070 Fish Hatchery Rd
Fitchburg, WI 53713-3187

Phone

(608) 274-6232

Fax

(608) 274-9444

NPI assigned

Dec 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Joseph Reese, D.D.S.

Title

President

Phone

(608) 274-6232

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114083342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 FISH HATCHERY RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133187",
            "telephone_number": "608-274-6232",
            "fax_number": "608-274-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 FISH HATCHERY RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133187",
            "telephone_number": "608-274-6232",
            "fax_number": "608-274-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITCHBURG DENTAL CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-274-6232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001328-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacie Ferguson, RDN
• Fermata Psychotherapy LLC
• FFP Clinical Services LLC
• Elizabeth Marie Fiore Kral, P.T.
• Fitchburg Assisted Living
• Fitchburg Family Clinic LLC
• Fitchburg Family Pharmacy
• Fitchburg Family Pharmacy LLC
• Fitchburg Podiatry LLC
• Fitchburg Transit LLC

• General Practice Dentistry in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.